Dr. Gerald Diaz @GeraldMD
48.5M 14.2K 7.5K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
R Wave Progression - normal chest lead ECG shows an rS-type complex in lead V1 with
Progression - normal chest ... lead ECG shows ... toward the left chest ... #Diagnosis #Cardiology ... #MedStudent #EKG
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
period without chest ... Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
ECG characteristics of early repolarization
 - The ST segment elevations are concave and most pronounced in
pronounced in the chest ... occur on the same ECG ... In case of chest ... #Diagnosis #Cardiology ... #EKG #ECG #Early
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... radiologistpage #Chest ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
TTE +/- TEE) β€’ Chest ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... infiltrate (e.g ... Inflammation (e.g ... Pulmonary symptoms (e.g ... production, pleuritic chest
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... 's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... #EKG #Electrocardiogram
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... paradoxus - ECG ... #Becks #Triad #Diagnosis ... #Cardiology
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... intolerance β€’ Chest ... gallop β€’ Abnormal ECG ... #Myocarditis #Diagnosis ... #Management #Cardiology